GA · guidance
Ga. Medicaid Part II Policies & Procedures for Hospice Services § 909
On-Site Reviews and Audits
To ensure compliance with the policies and procedures set forth in this manual, representatives of the
Division will conduct on-site reviews and audits of hospice agencies enrolled with the Division. The
reviews and audits will be conducted to determine whether services provided have been accurately
and completely reported, whether all services reported have been performed and whether the services
provided meet currently accepted standards of medical practice. All progress notes must substantiate
the nursing care, including nursing facility notification regarding a resident’s continuous care need,
the plan of care revision during the continuous care need, skilled nursing care and supplemental staff
hours for all hours billed. The on-site reviews will include but are not limited to in-agency reviews of
clinical and billing records and in-home member assessments.
Provenance
- Source
- www.mmis.georgia.gov
- Retrieved
- 2026-10-01
- Edition
- pp-hospice-2026-10-01
- Content hash
e14711919ce8140b267ccb165c32ed25fda51ad80b537b8ab8fb587100fcef55
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